A school-age child is prescribed to receive 1,500 ml + 20 ml/kg for each additional kilogram over 20 kg of intravenous fluid over the next 24 hours. The child weighs 55 lb. How much intravenous fluid should the nurse provide the patient for an 8-hour shift? (Enter numeric value only. Round to the nearest whole number if applicable.)

Question

Quizplus · Accepted Answer

The nurse needs to first determine the patient's weight in kilograms by dividing 55 lb by
2.2 or 55 / 2.2 = 25 kg. Then the nurse needs to determine how many kilograms of weight the child is over 20 or 25 kg (current weight) - 20 = 5 kg. Because the child is to receive 20 ml additional fluid for every kilogram of body weight over 20 kg, the nurse should then multiply 5 kg × 20 = 100 ml. Then the nurse should set up the equation of 1,500 ml + 100 ml = 1,600 ml. This is the total volume of fluid that the child is to receive in 24 hours. To determine the amount to provide during an 8-hour shift, the nurse should divide this total by 3 or 1,600 / 3 = 533.33 ml. When rounded to the nearest whole number, the nurse will provide 533 ml of fluid over 8 hours.

A School-Age Child Is Prescribed to Receive 1,500 Ml